Evidence map›Paper›PMID 40391019›Full record

ArticleMaterials today. Bio2025

Zwitterion nanocomposite hydrogels with bioactivity and anti-adhesion properties for rapid prevention of postoperative and recurrent adhesion.

Weihan Zhu, Jintao Fang, Wenjun Xu, Dian Yu, Jintao Shi, Qing Xia, Jinwei Wang, Xiaohui Chen, Haorui Zha, Shengyu Li and 1 more

Abstract read
In one paragraph

Article in Materials today. Bio, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Weihan ZhuThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Jintao FangThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Wenjun XuThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Dian YuThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Jintao ShiThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Qing XiaThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Jinwei WangMedical Research Center, Academy of Chinese Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Xiaohui ChenMedical Research Center, Academy of Chinese Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Haorui ZhaThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Shengyu LiThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Wei ZhangThe Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative adhesions (PAs) are a common complication after intraperitoneal surgery. Hydrogels are a physical barrier that prevents peritoneal adhesions, but their efficacy is still controversial. In this study, Laponites, a layered two-dimensional nanoscale, is incorporated into zwitterionic hydrogel (pSBLA) to enhanced biocompatibility and bioactivity to develop a nanocomposite for rapid prevention of postoperative and recurrent adhesion. The anisotropic distribution of charges in laponites results in strong hydrogen bonding and electrostatic repulsion in aqueous solutions and enables hydrogen bonding between amphiphilic ions, thereby enhancing the mechanical properties of hydrogels. The pSBLA hydrogels also possess a series of characters for an ideal anti-adhesion material, including resistance to adhesion against fibrinogen, proteins as well as cells. The mechanism underlying the extraordinary hydration of pSBLA is elucidated in this study using molecular dynamic simulations. In addition, pSBLA hydrogel is shown to represent a major advancement in anti-adhesion efficacy by completely and reliably preventing postoperative and recurrent adhesions after adhesiolysis in rat models. Furthermore, mechanistic explorations revealed that pSBLA hydrogel inhibits inflammatory responses and resists fibrosis by regulating the transforming growth factor-β/Smad signal pathway. Therefore, the pSBLA hydrogel has considerable potential for preventing post-operative adhesions in clinical settings.

Indexed as

NanosilicateNonfouling performancesPostoperative adhesionsZwitterionic hydrogels

Identifiers

PMID40391019
PMCPMC12088785

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.